Dr Ioan Corneliu Cucoranu, MD | |
559 W Twincourt Trl Unit 604a, St Augustine, FL 32095-8805 | |
(904) 551-9949 | |
Not Available |
Full Name | Dr Ioan Corneliu Cucoranu |
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Gender | Male |
Speciality | Pathology - Clinical Pathology/laboratory Medicine |
Location | 559 W Twincourt Trl Unit 604a, St Augustine, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619134814 | NPI | - | NPPES |
011137000 | Medicaid | FL | |
14U8G | Other | FL | BCBS |
003147334A | Medicaid | GA |
Entity Name | University Of Florida Jacksonville Physicians, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
Mailing Address | Practice Location Address |
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Dr Ioan Corneliu Cucoranu, MD 7929 Stratford Chase Ln, Jacksonville, FL 32256-3445 Ph: (904) 551-9949 | Dr Ioan Corneliu Cucoranu, MD 559 W Twincourt Trl Unit 604a, St Augustine, FL 32095-8805 Ph: (904) 551-9949 |
Lin Li, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-824-4990 Fax: 904-824-2226 | |
Maressa T Pollen, Pathology Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-4363 | |
Yanet Pantaleon, MD Pathology Medicare: Medicare Enrolled Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-4363 Fax: 904-819-4927 | |
Raghuraj Singh Raghuwanshi, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-5155 |